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2. Disclaimer
   Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.
4. This equipment rental form is for airport tenants of Rocky Mountain Metropolitan Airport only.
6. Today's Date*
   Today's Date
8. Name*
10. Phone*
11. Email Address
13. Business Name
15. Billing Address*
17. City
18. State
19. Zip Code
21. Service Address*
    This address must be on airport property
23. City
24. State
25. Zip Code
29. What would you like to rent?
31. Vehicles

    1. 21-passenger bus with driver; $125/hour
33. Wheel Loader

    1. Front End Loader with Attachment; $270/hour
    2. Skid Steer with Attachment; $200/hour
35. Painting/Striping

    1. Large Striper; $265/hour & materials
    2. Walk-Behind Striper; $200/hour & materials
37. Event Supplies

    1. Event Fencing (rope line and stanchions): $TBD
    2. Barricades: $TBD
39. Dump Truck

    1. 12 Yard Capacity; $215/hour
41. Sweeper

    1. Street Sweeper; $200/hour
    2. 18' Front Mt. Broom; $255/hour
43. Aerial

    1. 65' Bucket Truck; $220/hour
    2. Scissor Lift; $100/hour
45. Lighting

    1. Portable Light Plant; $100/hour
47. Utility Trailer

    1. Utility Trailer; $75/daily
49. When would you like to rent this equipment?*
    When would you like to rent this equipment? Start Date

    When would you like to rent this equipment? Start Time

    —

    When would you like to rent this equipment? End Date

    When would you like to rent this equipment? End Time
    Please provide the date and the time span.
51. Short description of work:*
53. RMMA Equipment and Service Notes

    RMMA rents out equipment service to airport tenants on an as-available basis. Completion of this form does not guarantee the availability of the equipment. RMMA staff will contact you to arrange rental services. All equipment comes with an operator. Equipment availability is subject to trained staff availability. Please contact RMMA for additional information on daily, weekly, or monthly rates.  For equipment rented by the hour, there is a one hour minimum charge. 

    
    

    All equipment and staff must remain on airport property.

    
    

    This form also serves an an invoice. Payment must be received prior to rental service approval.

55. Renter's Signature*
    A typed signature in this field takes the place of written signature. By signing and submitting this form, renter agrees to follow all equipment and service notes (above).
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field